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重症监护病房中急性肾损伤分级的临床意义 被引量：1

Evaluating the diagnostic value of AKIN criteria in critically ill patients of acute kidney injury in ICU
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摘要 目的探讨重症监护病房中急性肾损伤(AKI)的急性肾损伤网络(AKIN)分级、预后及其相关因素。方法回顾性收集145例符合AKIN标准的急性肾损伤患者,根据其严重程度对其进行AKIN分级,收集其病因、一般资料、APACHE II评分及转归等并进行统计分析。结果 ICU病房中AKI的主要病因为严重脓毒症及脓毒性休克(53.8%);APACHE II评分及病死率随着AKI的严重程度增加而增加(P<0.05),APACHE II评分及AKIN标准预测死亡率的ROC曲线的AUC分别为为0.785和0.679(P<0.05),对患者病情的评估有一定的作用。结论 AKIN标准与AKI患者转归密切相关,对评估患者肾功能损伤程度及预测预后有重要的指导价值。 Objective To investigate the AKIN classification,prognosis and related factors of acute kidney injury subjects in the intensive care unit. Methods 145 cases of acute kidney injury patients diagnosed by the AKIN criteria were collected retrospectively,these patients were graded by AKIN. The etiology,general information,APACHE II score and prognosis were collected for statistical analysis. Results Serious Sepsis and sepsis shock were the main cause of AKI in ICU. Mortality rate was significantly associated with AKIN criteria（ P 〈0. 05） The area under the curve of ROC for The APACHE II scores and AKIN criteria were 0. 785 and 0. 679（ P 〈0. 05）. Conclusion AKIN criteria could accurately predict hospital mortality and prognosis in ICU patients.
作者 张珺 杨绍兵 杨晓军
机构地区 宁夏医科大学总医院ICU
出处 《宁夏医学杂志》 CAS 2015年第2期120-121,共2页 Ningxia Medical Journal
基金 宁夏医科大学面上项目(XM201324)
关键词 急性肾损伤 APACHE II评分 急性肾损伤网络分级 预后 Acute kidney injury APACHE II scores AKIN criteria Prognosis
分类号 R692.5 [医药卫生—泌尿科学]
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参考文献9

  • 1Kellum JA, Levin N, Bouman C, et al. Developing a consensus clas- sification system for acute renal failure [ J ]. Curr Opin Crit Care, 2002,8:509 - 514.
  • 2Bellomo R, Ronco C, Kellum JA, et al. Acute renal failure defini- tion ,outcome measures, animal models, fluid therapy and informa- tion technology needs:the second international consensus conference of the acute dialysis quality initiative (ADQI) group [ J ]. Crit Care, 2004,8(4) :R204 - R212.
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  • 8岳金凤,吴大玮,李琛,翟茜,陈晓梅,丁士芳,杜滨峰,李远.以急性肾损伤网络标准评估重症监护病房患者急性肾损伤的发病率、预后及死亡相关危险因素[J].中华医学杂志,2011,91(4):260-264. 被引量：28
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二级参考文献17

  • 1Brivet FG,Kleinkneeht DJ,Loirat P,et al.Acute renal failure in intensive care units-causes,outcome,and prognostic factors of hospital mortality;a prospective,multicenter study.French Study Group on Acute Renal Failure.Crit Care Med,1996,24:192-198.
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  • 7Bellomo R,Kellum J,Ronco C.Acute renal failure:time for consensus.Intensive Care Med,2001,27:1685-1688.
  • 8Bellomo R,Kellum JA,Ronco C.Defining and classifying acute renal failure:from advocacy to consensus and validation of the RIFLE criteria Intensive Care Med,2007,33:409-413.
  • 9Bellomo R,Ronco C,Kellum JA,et al.Acute renal failuredefinition,outcome measures,animal models,fluid therapy and information technology needs:the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI)Group.Crit Care,2004,8:R204-R212.
  • 10Mehta RL,Kellum JA,Shah SV,et al.Acute Kidney Injury Network:report of an initiative to improve outcomes in acute kidney injury.Crit Care,2007,11:R31.

共引文献27

同被引文献9

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二级引证文献4

宁夏医学杂志
2015年 第2期

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